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HIV
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The Human Immunodeficiency Virus (HIV) is the virus
that leads to AIDS. HIV belongs to a subset of retroviruses called
lentiviruses (or slow viruses), which means that there is an interval --
sometimes years -- between the initial infection and the onset of
symptoms. Upon entering the bloodstream -- through mucous membranes or
blood-to-blood contact -- HIV infects the CD4+T cells and begins to
replicate rapidly. Scientists believe that when the virus enters the
body, HIV begins to disable the body's immune system by using the body's
aggressive immune responses to the virus to infect, replicate and kill
immune system cells. Gradual deterioration of immune function and
eventual destruction of lymphoid and immunologic organs is central to
triggering the immunosuppression that leads to AIDS.
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How can I lower my
risk of HIV infection? |
Practicing safe sex and avoiding high-risk behaviors are the keys
to protecting yourself from HIV. This begins with understanding that
there is a risk of transmission any time infected blood, semen,
vaginal secretions or breast milk are exchanged. By limiting the
possibility of these fluids entering your bloodstream, you are
lowering the possibility of HIV infection. You can achieve this by
limiting the number of people you have sex with, never sharing needles
with anyone at any time and avoiding the use of alcohol or drugs
before having sex. Drugs and alcohol may influence your decision and
may reduce your ability to practice safer sex. Safe sex involves using
a latex condom or latex square (dental dam) for sexual activities --
when used properly, latex is an effective barrier against the spread
of HIV. In addition, the use of lubricants should be limited to
water-based only, as oil-based lubricants can break down latex condoms
within seconds of use.
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What are the symptoms
of HIV? |
The only way to determine HIV infection is to be tested, as
symptoms and latent periods vary from person to person. It is common
during the first two to four weeks of infection that people experience
flu-like symptoms and enlarged lymph nodes. This is because the virus
migrates to various organs in the body, particularly the lymphoid
organs. During this stage people are highly infectious and HIV is
present in large quantities in genital secretions. According to the
Centers for Disease Control and Prevention, the following are symptoms
that may be warning signs of HIV infections: Rapid weight loss Dry cough Recurring fever or profuse night sweats
Profound and unexplained fatigue Swollen lymph glands in the armpits,
groin or neck Diarrhea that lasts for more than a week White spots or
unusual blemishes on the tongue, in the mouth or in the throat
Pneumonia Red, brown, pink or purplish blotches on or under the skin
or inside the mouth, nose or eyelids Memory loss, depression and other
neurological disorders Remember that the only way to determine HIV
infection is to be tested for the virus. No one should assume they are
HIV positive or negative based on the presence or absence of any of
the above symptoms. Each symptom can be related to other illnesses;
similarly, other symptoms or the absence of symptoms cannot assure
that someone is HIV negative. To be certain, get tested. Where can I
get tested? There are a number of resources available in determining
where and how to get tested. There are two ways to get tested for HIV
-- you can visit a place that provides HIV testing such as a local
health department, your family doctor, a hospital or an HIV testing
center, or you can purchase a home test kit. However, the FDA
currently approves only the Home Access brand test kit. In order to
find a testing center near you, visit www.aids.org or call the CDC
National AIDS Hotline at (800) 342-2437 (English), (800) 243-7889
(Spanish) or (800) 243-7889 (TTY). In addition, regional and national
AIDS service and support organizations can assist you in locating a
testing center. You can also contact Planned Parenthood. Look at the
site http://plannedparenthood.org
                            
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AIDS
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Acquired Immunodeficiency Syndrome (AIDS) is the final
stage of HIV infection. The Centers for Disease Control establish the
definition of AIDS, which occurs in HIV-infected persons with fewer than
200 CD4+T cells and/or persons with HIV who develop certain
opportunistic infections. In 1992, the CDC redefined AIDS to include 26
CDC-defined AIDS indicator illnesses and clinical conditions that affect
persons with advanced HIV. What is the distinction between HIV and AIDS?
AIDS is a disease developed by a person living with HIV, which is a
viral organism. The term AIDS applies to the most advanced stages of HIV
infection. Although an HIV-positive test result does not mean that a
person has AIDS, most people will develop AIDS as a result of their HIV
infection. There are four main stages in the progression of an HIV
infected person developing AIDS. The period following the initial HIV
infection is called the window period. It is called this because this
period reflects the window of time between infection with the virus and
when HIV antibodies develop in the bloodstream. An HIV test that looks
for antibodies taken during this time can result in a false negative,
though antibodies usually appear within six months of the initial
infection. Seroconversion refers to the period of time during which your
body is busy producing HIV antibodies, trying to protect itself against
the virus. This is the period after the initial infection when many
people experience flu-like symptoms and swollen lymph nodes this is a
highly infectious stage. After most people seroconvert, they usually
experience a symptom-free period or asymptomatic period. This stage can
last anywhere from 6 months to over 10 years, varying from person to
person. Although the person with HIV is experiencing no symptoms, the
virus is still replicating inside the body and weakening the immune
system. After this period, severe CD4+T cell loss leads to the
symptomatic period, in which the body experiences the symptoms
associated with HIV. This is the final stage before developing AIDS.

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